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Examination/Initial Dental Check-
It is important to have a dental check up at least once a year. Regular dental examinations may prevent more serious dental problems which may go undetected and therefore untreated for an extended period of time. For continued or preventative dental care you can also ask our dental staff for advice regarding good oral hygiene techniques and dietary habits.
The dentist provides an initial examination of your teeth and gums. The examination
may include special tests such as radiographs (x-
Once any dental problems have been identified the dental treatment options available will be discussed so that a treatment plan can be decided upon.
Scale and Polish
If the plaque is not removed thoroughly on a daily basis, it mixes with saliva and forms hard deposits on the teeth known as tartar.
If tartar is not removed, the gums become irritated and inflamed causing bleeding when brushing your teeth. You may also notice bad breath and an unpleasant taste in your mouth. These are symptoms often associated with gum disease.
Tartar cannot be removed by brushing and requires professional removal by your dentist or hygienist. The removal or tartar is done mechanically by dental scaling. Once tartar is removed from the tooth surface, the area will be easier to clean, and effective regular twice daily tooth brushing and flossing can resolve any inflammation left behind.
Tooth whitening is a relatively simple process that can give dramatic results in
the appearance (aesthetics) of your teeth. Tooth whitening can also hide crooked
teeth and make overcrowded teeth seem less noticeable.
The degree of whiteness achieved will depend on the bleaching process applied and will vary between patients.
The dentist takes an impression of your teeth in order to make a custom-
Detailed instructions are provided on how to place the whitening gel in the tooth whitening tray. The tray containing the bleach should then be worn on a nightly basis for 1-
The dentist would then further provide advice on which foods/drinks to avoid during the tooth whitening process. Pre existing composite fillings, veneers, crowns and bridges you may have will not lighten with the bleach but these can be changed to match your new tooth colour
Crevices and dips in the tooth structure are called pits and fissures. In some patients,
pits and fissures can be difficult to clean or brush.
A fissure sealant is a protective plastic coating used to cover the chewing surfaces
of molar teeth, and is purely a preventative measure providing a barrier against
decay caused by sugar or acid. This procedure also provides a smooth tooth surface
to allow optimal cleaning or brushing.
The dentist would assess which teeth need fissure sealing, and would thoroughly clean the chewing surface of the tooth before applying a special solution to help the sealant bond to the tooth. The solution would then be washed and dried, and the pits and fissures would be coated with the sealant and set hard using a bright light.
Fillings are necessary if the dentist detects caries (decay) in a tooth or a deficiency with fillings.
Two types of fillings are available, an amalgam (silver) filling or a tooth coloured/white filling. Amalgam (silver) fillings are usually ideal for medium to large sized cavities. Amalgam does not bond or stick to teeth and depends on enough tooth structure being present to hold the filling in place.
If the cavity is relatively small, an adhesive tooth coloured filling may be the ideal treatment; however these can also be used in medium sized cavities on front or back teeth. White fillings (tooth coloured fillings) can bond to tooth structure, matching the colour, texture and shape of your teeth
Root Canal Treatment
Root canal treatment (also called Endodontics) is needed when the blood or nerve supply of the tooth (known as the pulp) is infected through decay or injury.
A root canal is usually necessary when the tooth cannot be filled or restored any other way because the decay has reached the nerve of the tooth or the tooth has become infected. If the pulp becomes infected, the infection may spread through the root canal system of the tooth. This may eventually lead to an abscess. Unless root canal treatment (RCT) is carried out the infection will spread and the tooth may need to be extracted.
Some people may prefer an extraction; however, it is usually best to keep as many natural teeth as possible. Root canal treatment is usually very successful. However, if the infection comes back the root canal treatment can be repeated.
Root canal treatment is a skilled and time-
Most courses of treatment will involve two or more visits to the dentist to ensure that there is no more infection. When all the infection has cleared, the tooth is then permanently filled.
A tooth and its root may need to be removed or extracted due to decay, gum disease, damage, or for orthodontic reasons. Anaesthetic is used to numb the area of extraction so that the patient does
not experience any pain (except some pressure) when the tooth is removed.
Adults can have up to 32 teeth. The wisdom teeth are the last to come through, right at the back – 28 teeth is often the most we have room for. So if all the other teeth are present and healthy there may not be enough space for the wisdom teeth to come through properly.
Depending on the position and the shape of the roots, wisdom teeth may be difficult to extract. The dentist will assess and advise on the difficulty of the extraction post diagnosis of your X rays.
A space or a gap resulting from a missing tooth can cause difficulty in chewing or can result in movement of the adjacent teeth. Amongst the options available to fill the space are dentures, implants, and bridges, bridges being the most popular option. A bridge is basically a false tooth (pontic) replacing the missing tooth/teeth.
Cantilever bridge -
A crown or cap is a dental restoration which completely covers and strengthens an underlying tooth (above the gum line) that has been damaged or discoloured; this could be due to decay, trauma or large failed restorations. Crowns can often be used to improve the aesthetics of a person’s smile or can often be used to strengthen a weak tooth after root canal treatment.
In the past crowns were generally made of a layer of porcelain over metal or gold alloy substructure, in more recent times crowns that contain no metal have become more popular due to cosmetic demands.
The dentist would ensure that the patient’s bite is comfortable, and that the patient is happy with the appearance upon fitting.
Veneers are a thin layer of natural looking tooth-
The process of preparing teeth for veneers is a minimally invasive procedure.
Your dentist may anaesthetise (numb) the tooth and remove a thin layer of tooth surface to provide room for the porcelain veneer. This is to prevent your new veneer looking bulky. An impression is then taken, and a further appointment is made to have your veneers fitted. Once back from the dental laboratory the porcelain veneers are tried to ensure you are happy with your new smile. The porcelain veneer is then bonded onto your tooth.
Depending on care and maintenance, veneers last around about 5-
This artificial root is often a titanium screw that is placed surgically in the bone.
The screw then fuses biologically with the living bone (a process called osseo-
Having replacement teeth fixed securely into your jawbone provides many advantages
such as completely eliminating the need for removable denture, and eliminating the
need for adjacent teeth in the construction of a bridge. Dental implants also provide
stability for dentures, thereby promoting denture self-
Whether the implant is successful or not may depend on the general health of a patient’s mouth; this may be affected by some chronic diseases such as diabetes or osteoporosis. The dentist would discuss and advise whether an individual would be a suitable candidate for implants.
Enough jaw bone to anchor the dental implant.
Young patients due to incomplete growth of jaw
Patients on corticosteroids or immuno -
Patients with a history of alcohol or substance abuse
Patients receiving high doses of radiation therapy to their head or neck
People with suffer from chronic diseases or systemic problems.
People who suffer Bruxism (grinding) and jaw clenching
Dentures are basically false teeth used to replace missing teeth. A partial denture is used to replace individual missing teeth, and a full denture is necessary when all teeth are missing.
Dentures can be made of acrylic, metal or a flexible material. The dentist would discuss and help decide what would suit the needs of each patient.
The dentist would take impressions of your mouth that would then be sent to a laboratory to initially prepare a wax model of dentures to suit the patient’s specific fit and appearance. Further visits to the dentist may be necessary for minor adjustments to ensure that the right fit and look is achieved before the final set of plastic dentures are prepared and fitted for use.
An immediate denture is sometimes used when an impression is taken just before a
tooth extraction. In such a case, a denture is prepared and immediately used to
fill a gap left behind after a tooth extraction. Immediate dentures are not suitable
for long term use because the initial fitting would not be the same once the gums